Resources for Medicare Quizzes

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Listed below are good resources for learning about the Medicare program. Even though you may not be a medical biller, it is worthwhile to be knowledgeable about  the largest healthcare insurer in the United States – Medicare. The majority of this information below and the information for the Medicare Quizzes is provided by the Centers for Medicare and Medicaid Services (CMS), and the Medicare Learning Network® .

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Although this short video, “What is Medicare“, seems to be addressing physicians, it contains useful information for everyone. This video will provide you with a high-level overview of the Medicare Program. It includes basic information about Medicare’s various parts and whom it covers. This program is produced by the Medicare Learning Network®.

What Is Medicare? 5 minutes, 28 seconds

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Next is a listing of common Medicare Acronyms from A to Z. This will open as a pdf file. It was compiled by CMS.gov and the Medicare Learning Network®. Following the list of acronyms (pages 1-17), there are definitions for many of the acronyms that go all the way to page 119.

“Medicare Basics Commonly Used Acronyms” Educational Tool

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For information purposes only, below is a sample of the paper form that is used to bill Medicare. By far, the majority of Medicare claims are billed electronically, but taking a look at this form will provide you with knowledge about what type of information is required for billing Medicare. Electronic billing is required, except for a few exceptions. “Initial claims for payment under Medicare must be submitted electronically unless a health care professional or supplier qualifies for a waiver or exception from the Administrative Simplification Compliance Act (ASCA) requirement for electronic submission of claims”, according to CMS.  Once you get to the website, click on the CMS 1500 link.  The form will open as a pdf.

CMS 1500

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Below is a .pdf file produced by CMS and The Medicare Learning Network® (MLN) that provides good information about the Hospital Value-Based Purchasing Program instituted by Medicare.  This link will take you to the MLN® home page.  Once there, type “Value Based Purchasing” in the Search bar, then choose the second option which is Medicare’s Hospital Value Based Purchasing.

Medicare Learning Network®

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Listed next, is a 2014 article from For The Record magazine concerning Value Based Purchasing.

Strategies for Success in a Value- Based World by Susan Chapman

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Below is a 2013 article from For The Record magazine concerning risk adjustment.

Risk Adjustment Creates Challenges by Brian Boyce

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Medicare.gov

The official U.S. Government site for Medicare is Medicare.gov

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In order to view the catalog of educational videos available on a wide range of healthcare related topics, CMS has provided a Youtube channel located at:

CMS YouTube channel

** The Medicare Learning Network® and MLN Connects® are registered trademarks of the U.S. Department of Health and Human Services (HHS).

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